Professional Sonocardiographic Imaging

LBN: Professional Sonocardiographic Imaging
Professional Sonocardiographic Imaging is an health care organization with primary practice located at 1320 Wilkins St , Detroit MI 48207-4802. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Professional Sonocardiographic Imaging can be contacted via phone (313) 656-2151, or through Collado, Victor via phone (313) 656-2151.

Contact Information

Primary practice address
1320 Wilkins St Detroit MI 48207-4802
Phone: (313) 656-2151
Fax: (313) 656-2152
Website:
Map and Directions
Authorized official contact:
Name: Collado, Victor M.D,. PH.D
Phone: (313) 656-2151

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1821061938
LBN Legal business name Professional Sonocardiographic Imaging
DBA Doing business as
Authorized official Collado, Victor M.D,. PH.D
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2006
Last updated Apr 23rd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821061938 NPPES
Michigan MEDICAID 114483504
Michigan MEDICAID 114483522
Michigan Other 470000653
Michigan Other 0E01 184

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